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Estrogen Causes Higher Gut Pain in Women Than Men

January 28, 2026 Dr. Michael Lee – Health Editor Health

Summary of the Article: Why Women May Experience More Gut Pain Than Men

This article discusses new research exploring why women often experience more severe gut pain than men. Here’s a breakdown of the key findings:

* Female mice are more sensitive: Studies on mice showed that female mice had more sensitive guts at baseline compared to males.
* Estrogen is a key factor: Removing ovaries (and thus estrogen) reduced this sensitivity in female mice to male levels.Restoring estrogen brought the sensitivity back.
* Unexpected location of estrogen receptors: Researchers initially expected estrogen receptors to be on enterochromaffin cells (which produce serotonin). Though, they found them on L-cells, a rare type of gut cell.
* L-cells and short-chain fatty acids: Estrogen causes L-cells to produce more of a receptor (OLFR78) that senses short-chain fatty acids – byproducts of gut bacteria digesting food.
* increased fullness hormone release: More receptors on L-cells make them more sensitive to these fatty acids, leading to increased release of a hormone (PY) that signals fullness to the brain.

In essence, the research suggests that estrogen influences gut sensitivity by affecting L-cells and their response to gut bacteria byproducts, potentially contributing to the differences in gut pain experience between men and women.

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